OrganizationActive
South Shore Neurologic Associates P.C.
NPI 1417905969 · Neurology Physician · Islip, NY
South Shore Neurologic Associates P.C. is a Neurology Physician organization in Islip, NY (NPI 1417905969).
Provider details
- NPI number
- 1417905969
- Entity type
- Organization
- Primary specialty
- Neurology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Angela Deritis, Certified Medical Manager(631) 666-3939
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
712 Main St
Islip, NY 11751-3620
Phone: (631) 666-3939
Fax: (631) 666-3994
Street-level locationGet directions
Mailing address
712 Main St
Islip, NY 11751-3620
Registry dates
- Enumerated
- 2006-05-05
- Last updated
- 2013-11-08
Frequently asked questions
- What is South Shore Neurologic Associates P.C.'s NPI number?
- South Shore Neurologic Associates P.C.'s National Provider Identifier (NPI) is 1417905969, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is South Shore Neurologic Associates P.C.?
- South Shore Neurologic Associates P.C. is classified in the NPPES registry as Neurology Physician (Allopathic & Osteopathic Physicians).
- Where is South Shore Neurologic Associates P.C. located?
- South Shore Neurologic Associates P.C.'s practice location on file with NPPES is 712 Main St, Islip, NY 11751-3620.
- What is South Shore Neurologic Associates P.C.'s phone number?
- The practice phone number listed in the NPPES registry for South Shore Neurologic Associates P.C. is (631) 666-3939.
- Who is the authorized official for South Shore Neurologic Associates P.C.?
- The authorized official listed on South Shore Neurologic Associates P.C.'s NPPES record is Angela Deritis, Certified Medical Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is South Shore Neurologic Associates P.C.'s NPI active?
- Yes — South Shore Neurologic Associates P.C.'s NPI (1417905969) is active in the NPPES registry as of the last update on 2013-11-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.